Nicotine Dependence among College Students Uninterested in Smoking Cessation during the COVID-19 Pandemic: A Cross-Sectional Survey

• Published in: International journal of environmental research and public health 2023-03, Vol.20 (6), p.5135
• Main Authors: Aoike, Makoto, Mori, Yukihiro, Aoyama, Yuka, Tanaka, Mamoru, Kozai, Hana, Shigeno, Yukihiro, Kawamura, Hatsumi, Tsurudome, Masato, Ito, Morihiro
• Format: Article
• Language: English
• Subjects: Adult; Aerosols; Cigarette smoking; Cigarettes; College students; Colleges & universities; Coronaviruses; COVID-19; COVID-19 - epidemiology; Cross-Sectional Studies; Dependence; Disease; Drug addiction; Drug dependence; Electronic cigarettes; Epidemics; Evaluation; Humans; Japan; Nicotine; Nigeria; Pandemics; Physiological aspects; Questionnaires; Risk factors; Severe acute respiratory syndrome coronavirus 2; Smoking; Smoking Cessation; Smoking cessation programs; Students; Surveys; Surveys and Questionnaires; Tobacco; Tobacco Use Disorder - diagnosis; Tobacco Use Disorder - epidemiology; University students; User groups; Young Adult
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph20065135

This study investigated nicotine dependence among Japanese university students who had reached the smoking age (20 years or older) by the time of the coronavirus disease 2019 (COVID-19) pandemic and examined factors that encourage early smoking cessation. Social dependence on nicotine was evaluated using the Kano Total Social Nicotine Dependence Level (KTSND), and physiological dependence was evaluated using the Fagerström Nicotine Dependence Index (FTND). Of the 356 college students who smoked (4.4% of the total), 182 (51.1%) stated that they were not interested in quitting. Furthermore, 124 (68.1%) of those with no interest in quitting smoking were aware that smoking is a high-risk factor for COVID-19, and 58 (31.9%) were unaware. The group not aware of this risk had significantly higher KTSND scores than the group aware of it. The examination of cigarette type that indicated the users of non-conventional cigarette products and dual-user groups scored significantly higher than the cigarette group on FTND items. Overall, the smokers scored above the normal range for social nicotine dependence, suggesting the need to reduce nicotine dependence to encourage college students who continue to smoke to quit smoking.